EP3681404B1 - Ultraschallbildverarbeitung - Google Patents

Ultraschallbildverarbeitung Download PDF

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EP3681404B1
EP3681404B1 EP18762876.3A EP18762876A EP3681404B1 EP 3681404 B1 EP3681404 B1 EP 3681404B1 EP 18762876 A EP18762876 A EP 18762876A EP 3681404 B1 EP3681404 B1 EP 3681404B1
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ultrasound
medical device
ultrasound image
invasive medical
sequence
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French (fr)
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EP3681404A1 (de
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Alexander Franciscus Kolen
Harm Jan Willem Belt
Godefridus Antonius Harks
Gerardus Henricus Maria Gijsbers
Hong Liu
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461—Displaying means of special interest
    • A61B8/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0883—Clinical applications for diagnosis of the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A61B5/066—Superposing sensor position on an image of the patient, e.g. obtained by ultrasound or x-ray imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T11/00—Two-dimensional [2D] image generation
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00—Image analysis
    • G06T7/0002—Inspection of images, e.g. flaw detection
    • G06T7/0012—Biomedical image inspection
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00—Image analysis
    • G06T7/20—Analysis of motion
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00—Image analysis
    • G06T7/60—Analysis of geometric attributes
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00—Image analysis
    • G06T7/70—Determining position or orientation of objects or cameras
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A61B8/4245—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
    • A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
    • A61B8/5246—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image combining images from the same or different imaging techniques, e.g. color Doppler and B-mode
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5269—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving detection or reduction of artifacts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5284—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving retrospective matching to a physiological signal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/54—Control of the diagnostic device
    • A61B8/543—Control of the diagnostic device involving acquisition triggered by a physiological signal
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2200/00—Indexing scheme for image data processing or generation, in general
    • G06T2200/24—Indexing scheme for image data processing or generation, in general involving graphical user interfaces [GUIs]
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00—Indexing scheme for image analysis or image enhancement
    • G06T2207/10—Image acquisition modality
    • G06T2207/10016—Video; Image sequence
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00—Indexing scheme for image analysis or image enhancement
    • G06T2207/10—Image acquisition modality
    • G06T2207/10132—Ultrasound image
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00—Indexing scheme for image analysis or image enhancement
    • G06T2207/30—Subject of image; Context of image processing
    • G06T2207/30004—Biomedical image processing

Definitions

  • the recording of the first sequence 100 of ultrasound images 150 may be periodically repeated, e.g. every 20s or so, to periodically update the first sequence 100 of ultrasound images 150 such that a time difference between recordal of the first sequence 100 of ultrasound images 150 and the further sequence 100' of ultrasound images 150 is minimized, which may reduce the risk of the ultrasound images 150 of the sequences 100, 100' offering different viewing angles of the anatomical feature of interest 151, e.g. due to accidental movement of the ultrasound probe 10 during the invasive medical procedure.
  • the difference between such corresponding ultrasound images 150 is that in the ultrasound image 150 belonging to the first sequence 100 the invasive medical device 15 is absent from the field of view of the ultrasound probe 10 whereas in the ultrasound image 150 belonging to the further sequence 100' the invasive medical device 15 or at least a part thereof is visible in the ultrasound image 150 and casts an acoustic shadow region 17 onto the anatomical feature of interest 151, as explained in more detail above with the aid of Fig. 3 and Fig. 4 .

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  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
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  • Theoretical Computer Science (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Cardiology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Human Computer Interaction (AREA)
  • Quality & Reliability (AREA)
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Claims (14)

  1. Ultraschallbildverarbeitungsvorrichtung (5), umfassend eine Bildprozessoranordnung (50), die angepasst ist, zum:
    Empfangen einer ersten Sequenz (100) von Ultraschallbildern (150), die ein interessierendes anatomisches Merkmal (151) während eines ersten vollständigen Herzzyklus in Abwesenheit einer invasiven medizinischen Vorrichtung (15) in den Ultraschallbildern abbilden, wobei jedes Ultraschallbild einer anderen Phase des Herzzyklus entspricht;
    Empfangen einer weiteren Sequenz (100') von Ultraschallbildern (150), die das interessierende anatomische Merkmal (151) während eines weiteren vollständigen Herzzyklus in Gegenwart der invasiven medizinischen Vorrichtung (15) in den Ultraschallbildern abbilden, wobei jedes Ultraschallbild einer anderen Phase des Herzzyklus entspricht, wobei die invasive medizinische Vorrichtung (15) das interessierende anatomische Merkmal zumindest teilweise verdeckt, und für jedes Ultraschallbild der weiteren Sequenz:
    Verfolgen der Position der invasiven medizinischen Vorrichtung im Ultraschallbild;
    Isolieren der invasiven medizinischen Vorrichtung vom Ultraschallbild; und
    Einfügen der isolierten invasiven medizinischen Vorrichtung in ein Ultraschallbild der ersten Sequenz einer entsprechenden Phase des Herzzyklus an der verfolgten Stelle; und
    Steuern einer Anzeigevorrichtung, um die erste Sequenz von Ultraschallbildern einschließlich der eingeführten invasiven medizinischen Vorrichtung anzuzeigen.
  2. Ultraschallbildverarbeitungsvorrichtung (5) nach Anspruch 1, wobei die Ultraschallbildverarbeitungsvorrichtung angepasst ist, um die Erfassung mindestens der weiteren Sequenz von Ultraschallbildern als Reaktion auf einen externen Stimulus auszulösen, der einen bestimmten Punkt im Herzzyklus anzeigt.
  3. Ultraschallbildverarbeitungsvorrichtung (5) nach Anspruch 1 oder 2, wobei jede der ersten Sequenz (100) und der weiteren Sequenz (100') von Ultraschallbildern (150) einen Cineloop definiert.
  4. Ultraschallbildverarbeitungsvorrichtung (5) nach einem der Ansprüche 1 bis 3, wobei die Bildprozessoranordnung (50) angepasst ist, um den Ort der invasiven medizinischen Vorrichtung in einem Ultraschallbild (150) der weiteren Sequenz (100') unter Verwendung eines Objekterkennungsalgorithmus zu bestimmen.
  5. Ultraschallbildverarbeitungsvorrichtung (5) nach Anspruch 4, wobei der Objekterkennungsalgorithmus ein optischer Formmessungsalgorithmus ist.
  6. Ultraschallbildverarbeitungsvorrichtung (5) nach einem der Ansprüche 1 bis 3, wobei die invasive medizinische Vorrichtung (15) mehrere elektromagnetische Sender in einer definierten Ausrichtung entlang der invasiven medizinischen Vorrichtung umfasst, und wobei die Bildprozessoranordnung (50) angepasst ist, um den Ort der invasiven medizinischen Vorrichtung in einem Ultraschallbild (150) der weiteren Sequenz (100') basierend auf empfangenen elektromagnetischen Übertragungen von der Vielzahl von elektromagnetischen Sendern zu bestimmen.
  7. Ultraschallbildverarbeitungsvorrichtung (5) nach Anspruch 6, wobei die Sender Ultraschallsender sind.
  8. Ultraschallbildgebungssystem (1), umfassend die Ultraschallbildverarbeitungsvorrichtung (5) nach einem der Ansprüche 1 bis 7 und eine Ultraschallsonde (10), die kommunikativ mit der Ultraschallbildverarbeitungsvorrichtung gekoppelt werden kann, und zur Bereitstellung des Ultraschallbildverarbeitungsvorrichtung mit mindestens der weiteren Sequenz (100') von Ultraschallbildern (150) angepasst ist.
  9. Computerprogrammprodukt, umfassend ein computerlesbares Speichermedium mit damit verkörperten computerlesbaren Programmanweisungen, um bei Ausführung auf der Bildprozessoranordnung (50) der Ultraschallbildverarbeitungsvorrichtung (5) nach einem der Ansprüche 1 bis 7 zu bewirken, dass die Bildprozessoranordnung:
    Empfangen einer ersten Sequenz (100') von Ultraschallbildern (150), die ein interessierendes anatomisches Merkmal (151) während eines ersten vollständigen Herzzyklus in Abwesenheit einer invasiven medizinischen Vorrichtung (15) in den Ultraschallbildern abbilden, wobei jedes Ultraschallbild einer anderen Phase des Herzzyklus entspricht;
    Empfangen einer weiteren Sequenz (100') von Ultraschallbildern (150), die das interessierende anatomische Merkmal (151) während eines weiteren vollständigen Herzzyklus in Gegenwart der invasiven medizinischen Vorrichtung (15) in den Ultraschallbildern, wobei jedes Ultraschallbild einer anderen Phase des Herzzyklus entspricht, wobei die invasive medizinische Vorrichtung (15) das interessierende anatomische Merkmal zumindest teilweise verdeckt, und für jedes Ultraschallbild der weiteren Sequenz:
    Verfolgen der Position der invasiven medizinischen Vorrichtung im Ultraschallbild.
    Isolieren der invasiven medizinischen Vorrichtung vom Ultraschallbild; und
    Einfügen der isolierten invasiven medizinischen Vorrichtung in ein Ultraschallbild der ersten Sequenz einer entsprechenden Phase des Herzzyklus an der verfolgten Stelle; und
    Steuern einer Anzeigevorrichtung, um die erste Sequenz von Ultraschallbildern einschließlich der eingeführten invasiven medizinischen Vorrichtung anzuzeigen.
  10. Computerprogrammprodukt nach Anspruch 9, wobei das Computerprogrammprodukt weiter angepasst ist, um zu bewirken, dass die Bildprozessoranordnung die Erfassung mindestens der weiteren Sequenz von Ultraschallbildern als Reaktion auf einen externen Stimulus auslöst, der einen bestimmten Punkt im Herzzyklus anzeigt.
  11. Computerprogrammprodukt nach Anspruch 9 oder 10, wobei jede der ersten Sequenz (100) und der weiteren Sequenz (100') von Ultraschallbildern (150) einen Cineloop definiert.
  12. Computerprogrammprodukt nach einem der Ansprüche 9 bis 11, wobei das Computerprogrammprodukt ferner angepasst ist, um zu bewirken, dass die Bildprozessoranordnung den Ort der invasiven medizinischen Vorrichtung in einem Ultraschallbild (150) der weiteren Sequenz (100') unter Verwendung eines Objekterkennungsalgorithmus bestimmt.
  13. Computerprogrammprodukt nach Anspruch 12, wobei der Objekterkennungsalgorithmus ein optischer Formmessungsalgorithmus ist.
  14. Computerprogrammprodukt nach einem der Ansprüche 9 bis 11, wobei die invasive medizinische Vorrichtung (15) mehrere elektromagnetische Sender in einer definierten Ausrichtung entlang der invasiven medizinischen Vorrichtung umfasst, und wobei das Computerprogrammprodukt weiter angepasst ist, um zu bewirken, dass die Bildprozessoranordnung den Ort der invasiven medizinischen Vorrichtung in einem Ultraschallbild (150) der weiteren Sequenz (100') basierend auf empfangenen elektromagnetischen Übertragungen von der Vielzahl von elektromagnetischen Sendern bestimmt.
EP18762876.3A 2017-09-14 2018-09-10 Ultraschallbildverarbeitung Active EP3681404B1 (de)

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EP17191027.6A EP3456267A1 (de) 2017-09-14 2017-09-14 Ultraschallbildverarbeitung
PCT/EP2018/074352 WO2019052968A1 (en) 2017-09-14 2018-09-10 TREATMENT OF ULTRASONIC IMAGE

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JP2020534891A (ja) 2020-12-03
CN111132621A (zh) 2020-05-08
US11213276B2 (en) 2022-01-04
CN111132621B (zh) 2023-12-12
EP3681404A1 (de) 2020-07-22
JP6843297B2 (ja) 2021-03-17
US20220079560A1 (en) 2022-03-17
US11759176B2 (en) 2023-09-19
WO2019052968A1 (en) 2019-03-21
US20200268347A1 (en) 2020-08-27

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